FDA Adverse Event Malfunction Summary report: N

POSIFLUSH

MDR report key: 25272399 · Received May 25, 2026

Report

Report Number
1911916-2026-00238
Event Type
Malfunction
Date Received
May 25, 2026
Date of Event
May 7, 2026
Report Date
May 27, 2026
Manufacturer
BD MEDICAL (BD WEST) MEDICAL SURGICAL
Product Code
NGT
UDI-DI
00382903065479
PMA / PMN Number
K161552
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY: BASED ON THE INVESTIGATION AND WITH NO SAMPLE ANALYSIS THE SYMPTOM REPORTED BY THE CUSTOMER COULD NOT BE CONFIRMED. WE WILL CONTINUE MONITORING THE COMPLAINT TREND FOR THE PRODUCT AND SYMPTOM. WITH NO ACTUAL SAMPLE ANALYSIS, A PROBABLE ROOT CAUSE COULD NOT BE OFFERED.

Additional Manufacturer Narrative · 0

H.3. A DEVICE EVALUATION AND/OR DEVICE HISTORY REVIEW IS ANTICIPATED BUT IS NOT COMPLETE. UPON COMPLETION, A SUPPLEMENTAL REPORT WILL BE FILED. 6.4. ADDITIONAL 510K: K003553;

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION.

Description of Event or Problem · 0

IT IS REPORTED, SYR 10ML PUMP COMPATIBLE SALINE 10ML FIL, LIP ON THE FLANGE OF THE SYRINGE CAUSING THE MEDFUSION PUMPS TO ALERT WITH A MESSAGE OF "OCCLUSION". ADDITIONAL INFORMATION: PLEASE PROVIDE AN EXACT DATE OF EVENT IN FORMAT MM-DD-YYYY? 05-07-2026 PLEASE PROVIDE THE BATCH# OR LOT# NUMBER? LOT #5336234 DESCRIBE ANY PATIENT¿S HARM, INJURY, COMPLICATION OR NEGATIVE OUTCOME THAT OCCURRED AS A RESULT OF THE EVENT. OUR TEAM IS INDICATING THERE IS A LIP ON THE FLANGE OF THE SYRINGE CAUSING THE MEDFUSION PUMPS TO ALERT WITH A MESSAGE OF "OCCLUSION." HAS SOMETHING CHANGED WITH THESE? THE REGULAR SYRINGES DON'T HAVE THIS LIP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
548909 POSIFLUSH SET, ADMINISTRATION, INTRAVASCULAR NGT BD MEDICAL (BD WEST) MEDICAL SURGICAL 5336234 00382903065479

Patients

Seq Age Sex Outcome Treatment
1